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Organization

PRIORITY MEDICAL CLAIMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH ALLEN WAYCASTER (PRESIDENT)
(304) 253-1059
Entity
Organization

Contact information

Practice address
130 GEORGE ST STE D, BECKLEY, WV 25801-2648
(304) 253-1059
Mailing address
PO BOX 911, MABSCOTT, WV 25871-0911
(304) 253-1059
(304) 253-1965

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
11/22/2021
Last updated
11/22/2021
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